Thromboembolism

Question 1

What are the 2 types of VTE

Answer 1

• Deep Vein Thrombosis
  (leg/pelvis)
• Pulmonary Embolism
  (lungs)

Question 2

How long should you use mechanical VTE prophylaxis during hospital surgery

Answer 2

until mobile or discharge

Question 3

Anti-coagulation for VTE in Elective Hip Replacement

Answer 3

• LMWH for 10 days => Aspirin 75mg for 28 days

or

• LMWH for 28 days + stockings till discharge

or

• Rivaroxaban

Question 4

Anti-coagulation for VTE in Elective Knee Replacement

Answer 4

• Aspirin 75mg for 14 days

or

• LMWH for 14 days + stockings till discharge

or

• Rivaroxaban

Question 5

Duration of anticoagulation if recurrent DVT/PE

Answer 5

Long term

Question 6

Duration of anticoagulation if Distal Calf DVT

Answer 6

6 weeks

Question 7

Duration of anticoagulation if Proximal DVT/PE

Answer 7

3 to 6 months (more than 3 if cancer)

Question 8

Duration of anticoagulation if Provoked DVT/PE

Answer 8

stop at 3 months if resolved

Question 9

Duration of anticoagulation if Unprovoked DVT/PE

Answer 9

> 3 months

Question 10

What is it if a patient who has DVT experiences:
- Dyspnoea
- Chest pain
- syncope

Answer 10

DVT can progress to Pulmonary Embolism